Individual provider Active NPI

Caroline Wise Todd

  • Physician Assistant
  • Crestview Hills, KY
National Provider Identifier
1982128575
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
375 Thomas More Pkwy Ste 209
Crestview Hills, KY 41017-2175
Phone
(859) 341-4842
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

375 Thomas More Pkwy Ste 209
Crestview Hills, KY 41017-2175

Mailing address

375 Thomas More Pkwy Ste 209
Crestview Hills, KY 41017-2175
Phone (859) 341-4842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170825001611 IN Practitioner - Physician Assistant 1658643622 Reassigns benefits to 2 organizations
I20190214000626 KY Practitioner - Physician Assistant 1658643622 Reassigns benefits to 1 organization
I20241003000108 OH Practitioner - Physician Assistant 1658643622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Northern Kentucky PLLC 56 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2160

1640 Flossie Dr
Greendale, IN 47025-8424
Phone (812) 496-3285

238 Barnes Rd
Williamstown, KY 41097-9482
Phone (859) 824-8110

309 11TH St
Carrollton, KY 41008-1435
Phone (502) 732-3249

4900 Houston Rd
Florence, KY 41042-4824
Phone (859) 212-5420

600 Medical Village Dr
Edgewood, KY 41017-3416
Phone 8772357686987

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (800) 676-5572

85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3140

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045
  • St Elizabeth Ft Thomas Hospital, Fort Thomas, KY, CCN 180001
  • St Elizabeth Dearborn Hospital Hospital, Lawrenceburg, IN, CCN 150086
  • St Elizabeth Grant Hospital, Williamstown, KY, CCN 181311

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Urologic Services PSC Inc CurrentSince Aug 9, 2024 Accepting new patients
Tri State Urologic Services PSC Inc CurrentSince Aug 9, 2024 Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
Lester S Duplechan MD PLLC Past Accepting new patients

Locations

651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

330 Roland Ave
Owenton, KY 40359
Phone (502) 484-3663

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

4360 Ferguson Dr
Ste 100
Cincinnati, OH 45245
Phone (513) 841-7750

4746 Montgomery Rd
Ste 201
Cincinnati, OH 45212
Phone (513) 731-2273

2000 Joseph E Sanker Blvd
Norwood, OH 45212
Phone (513) 841-7400

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1982128575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 THOMAS MORE PKWY STE 209",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410172175",
            "telephone_number": "859-341-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 THOMAS MORE PKWY STE 209",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410172175",
            "telephone_number": "859-341-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "CAROLINE",
        "middle_name": "WISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.